Josephine R Otoo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

52920 Issued in OK

Practice address

2400 N Hemlock Cir Ste B
Broken Arrow, OK 74012-1175

Phone

(918) 259-0049

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Josephine R Otoo Professional name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• A-Vow Hospice, Inc.

  • Community Based Hospice Care Agency
  • Broken Arrow, OK
  • NPI 1164580395

  5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ico Primary Care, LLC

  • Primary Care Clinic/Center
  • Choctaw, OK
  • NPI 1568144996
  Medicare reassignment NPD
• Immediate Care of Oklahoma LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1164697694
  Medicare reassignment NPD
• Independent Nursing

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Moore, OK
  • NPI 1467863928
  NPD (past) Authorized official
• Immediate Care of Oklahoma

  • Urgent Care Clinic/Center
  • Choctaw, OK
  • NPI 1881448710
  NPD
• Immediate Care of Oklahoma, LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1780239202
  NPD
• A-Vow Hospice, Inc.

  • Community Based Hospice Care Agency
  • Broken Arrow, OK
  • NPI 1164580395
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1477064335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 NE 2ND ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731608155",
            "telephone_number": "405-301-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N HEMLOCK CIR STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121175",
            "telephone_number": "918-259-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOO",
        "first_name": "JOSEPHINE",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "52920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "OTOO",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Rachel Nicole Ottley, OTR/L
• Preston Otto, DPT
• Wakel Ousley
• Outcomes, Inc.
• Bradford Dyer Overton, DDS

• Family Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.